Experiences of Caregivers of Children with Intellectual Disability in Accessing Services in Imo State, South East Nigeria

Caregivers of children with intellectual disability navigate fragmented service systems and widespread stigma in Nigeria, yet their experiences remain underrepresented in the psychiatric literature. This qualitative study explores the experiences of caregivers of children with intellectual disability in accessing educational, medical, and psychosocial services in Imo State, South East Nigeria. Purposive sampling will recruit 25 primary caregivers from special education schools and rehabilitation centers in Owerri through maximum variation sampling. In-depth semi-structured interviews will explore caregiving challenges, service pathways, interactions with healthcare providers, and the impact of stigma and cultural attribution. Data will be analyzed using thematic analysis. Emerging themes are expected to include diagnostic delay, financial hardship, denial by extended family members, and reliance on spiritual healing as a precursor to formal services. This study will contribute qualitative evidence to the design of family-centered, culturally responsive services for children with intellectual disability in Imo State and will inform professional training on caregiver support in the South East zone. Keywords: intellectual disability, caregiver experience, service access, Imo State, qualitative